Individual
MOON JU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1058 S VERMONT AVE, LOS ANGELES, CA 90006-2721
(213) 380-8833
(213) 368-6047
Mailing address
1058 S VERMONT AVE, LOS ANGELES, CA 90006-2721
(213) 380-8833
(213) 368-6047
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP8434
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0084340
—
CA
Enumeration date
05/09/2007
Last updated
05/08/2019
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